Therapists in Green, OH

Photo of Dr. Dana Beezley-Smith, Psychologist, PhD
Dr. Dana Beezley-Smith
Psychologist, PhD
Online Only
Greetings! My personal calling is to help people navigate through a world that sometimes feels out of control, and to help them grow confidence and mastery in dealing with their feelings and circumstances. I've been doing this work for decades, and it only gets better and more rewarding. "Do what you love, and you’ll never work another day in your life."
Greetings! My personal calling is to help people navigate through a world that sometimes feels out of control, and to help them grow confidence and mastery in dealing with their feelings and circumstances. I've been doing this work for decades, and it only gets better and more rewarding. "Do what you love, and you’ll never work another day in your life."
(330) 625-9880 x330592 View (330) 625-9880 x330592
Photo of Kay Metzler, Marriage & Family Therapist, LPCC, MFT, SC
Kay Metzler
Marriage & Family Therapist, LPCC, MFT, SC
Green, OH 44232
Thank you for prioritizing you. At B2AW, we empower women to identify their life mission, expand their goals, enhance their overall health and wellness. We can meet remotely or in our serene office in GREEN as you take this significant step on your journey towards personal growth and fulfillment. Are you ready to uncover and address root causes holding you back? For many, a true and full restoration occurs via integration of Accelerated Resolution Therapy (ART). ART is the KEY to peace & the "A-Ha" moment to identify what you need to feel more fulfilled. If your Christian faith is a source of strength, let's leverage that.
Thank you for prioritizing you. At B2AW, we empower women to identify their life mission, expand their goals, enhance their overall health and wellness. We can meet remotely or in our serene office in GREEN as you take this significant step on your journey towards personal growth and fulfillment. Are you ready to uncover and address root causes holding you back? For many, a true and full restoration occurs via integration of Accelerated Resolution Therapy (ART). ART is the KEY to peace & the "A-Ha" moment to identify what you need to feel more fulfilled. If your Christian faith is a source of strength, let's leverage that.
(330) 648-4264 View (330) 648-4264
Photo of Stephanie M Furgiuele, Licensed Professional Clinical Counselor, LPCC
Stephanie M Furgiuele
Licensed Professional Clinical Counselor, LPCC
Serves Area
Hi there ! Many clients come to me during times of transition – feeling stuck, overwhelmed, disconnected, or unsure of their next steps. You may be longing for growth, stronger, relationships, or a deeper sense of clarity and grounding in your life. In therapy, I offer a calm, supportive space to explore what you need, to understand old patterns, create new ones, and reconnect with your sense of self and purpose . My goal is to help you feel seen, supported, and empowered as you create healthier relationships , the best version of you and a life that feels more aligned with what you want see different and who you want to become.
Hi there ! Many clients come to me during times of transition – feeling stuck, overwhelmed, disconnected, or unsure of their next steps. You may be longing for growth, stronger, relationships, or a deeper sense of clarity and grounding in your life. In therapy, I offer a calm, supportive space to explore what you need, to understand old patterns, create new ones, and reconnect with your sense of self and purpose . My goal is to help you feel seen, supported, and empowered as you create healthier relationships , the best version of you and a life that feels more aligned with what you want see different and who you want to become.
(330) 495-7489 View (330) 495-7489
Photo of Richard Hoffman - Christian Counseling Associates of Eastern Ohio, Licensed Professional Clinical Counselor
Christian Counseling Associates of Eastern Ohio
Licensed Professional Clinical Counselor
Serves Area
Christian Counseling Associates (CCA) provides individual, marriage, and family counseling. We serve Christians who want their faith integrated into the counseling process and those holding any beliefs or attitudes toward spirituality. Our counselors will help you identify the core issues that have caused your emotional and personal problems, and immediately develop strategies to resolve these issues. CCA is able to provide a full range of clinical services. Please visit our website for a complete description of our faith based counseling services, locations, and counseling staff.
Christian Counseling Associates (CCA) provides individual, marriage, and family counseling. We serve Christians who want their faith integrated into the counseling process and those holding any beliefs or attitudes toward spirituality. Our counselors will help you identify the core issues that have caused your emotional and personal problems, and immediately develop strategies to resolve these issues. CCA is able to provide a full range of clinical services. Please visit our website for a complete description of our faith based counseling services, locations, and counseling staff.
(330) 227-2756 View (330) 227-2756
Photo of Audrey Wilson, Marriage & Family Therapist, MFT
Audrey Wilson
Marriage & Family Therapist, MFT
4 Endorsed
Serves Area
When our closest relationships feel disconnected or stuck, it can lead to a deep sense of loneliness and pain. But even in the most challenging dynamics, there is potential for healing, and growth through safe, compassionate support. I work with couples whose once happy relationship now feels stuck in a heartbreaking cycle—partners who long to feel at home again in the safety of their connection. As your therapist I will help you move from patterns of conflict, distance, or misunderstanding into deeper emotional closeness and trust. I also specialize in supporting couples and individuals navigating ADHD-related challenges.
When our closest relationships feel disconnected or stuck, it can lead to a deep sense of loneliness and pain. But even in the most challenging dynamics, there is potential for healing, and growth through safe, compassionate support. I work with couples whose once happy relationship now feels stuck in a heartbreaking cycle—partners who long to feel at home again in the safety of their connection. As your therapist I will help you move from patterns of conflict, distance, or misunderstanding into deeper emotional closeness and trust. I also specialize in supporting couples and individuals navigating ADHD-related challenges.
(419) 751-2033 View (419) 751-2033
Photo of Mindy Barth, Licensed Professional Clinical Counselor, MAEd, LPCC, LICDC
Mindy Barth
Licensed Professional Clinical Counselor, MAEd, LPCC, LICDC
1 Endorsed
Serves Area
I primarily work with young adults (16+) on issues related to school, stress, work/life balance, anxiety, depression, ADHD, and several other concerns. I also like to work with individuals who might need that extra "nudge" to assist them in achieving their goals. I love collaborating with others and learning what motivates you. In addition, I have a passion for assisting individuals who have been victims of narcissistic abuse.
I primarily work with young adults (16+) on issues related to school, stress, work/life balance, anxiety, depression, ADHD, and several other concerns. I also like to work with individuals who might need that extra "nudge" to assist them in achieving their goals. I love collaborating with others and learning what motivates you. In addition, I have a passion for assisting individuals who have been victims of narcissistic abuse.
(234) 206-2259 View (234) 206-2259
Photo of Victoria Giegerich, Counselor, PhD, LPCC-S, LICDC
Victoria Giegerich
Counselor, PhD, LPCC-S, LICDC
1 Endorsed
Serves Area
Not accepting new clients
Counseling is a vulnerable process. Sometimes it takes courage just to go "Where do I start?". At Restorative Counseling & Consulting, I work with you to identify your starting point and collaboratively define a road map to healing. Many individuals I work with struggle with stress, depression, anxiety, and trauma; which can feel overwhelming and daunting. In counseling, we shed a light on these areas with compassion and non-judgment to walk with you in ongoing growth and healing. If you're ready to embark on the journey, visit my website to learn more or call for a free consultation: https://restorativecounseling.squarespace.com
Counseling is a vulnerable process. Sometimes it takes courage just to go "Where do I start?". At Restorative Counseling & Consulting, I work with you to identify your starting point and collaboratively define a road map to healing. Many individuals I work with struggle with stress, depression, anxiety, and trauma; which can feel overwhelming and daunting. In counseling, we shed a light on these areas with compassion and non-judgment to walk with you in ongoing growth and healing. If you're ready to embark on the journey, visit my website to learn more or call for a free consultation: https://restorativecounseling.squarespace.com
(234) 813-1396 View (234) 813-1396
Photo of Maisha L.g. Mcintyre, Counselor, LPCC-S
Maisha L.g. Mcintyre
Counselor, LPCC-S
Serves Area
We all experience times in our lives where we lose our way, feel sad or confused, and need help regaining our footing. There is nothing wrong with seeking a safe place and a friendly person to help you navigate a difficult season. My goal is to provide a non-judgmental, confidential space where together we can work through your concerns and challenges at a pace that is comfortable for you. I have experience working with diverse cultures and people of all ages.
We all experience times in our lives where we lose our way, feel sad or confused, and need help regaining our footing. There is nothing wrong with seeking a safe place and a friendly person to help you navigate a difficult season. My goal is to provide a non-judgmental, confidential space where together we can work through your concerns and challenges at a pace that is comfortable for you. I have experience working with diverse cultures and people of all ages.
(330) 236-0678 View (330) 236-0678
Photo of Lisa Richardson - Beyond Healthcare- Fairlawn, OH, Licensed Professional Clinical Counselor, LCDCIII
Beyond Healthcare- Fairlawn, OH
Licensed Professional Clinical Counselor, LCDCIII
Serves Area
NEW - Community Based Program for individuals ages 6-60; includes case management and care coordination! At Beyond Healthcare, we offer our mental health therapeutic group services: full day: Partial Hospitalization Program (PHP) and after school: Intensive Outpatient Program (IOP) for school aged youth 11-18 years old. We also offer two virtual programs, our Young Adult Mental Health Intensive Outpatient Program for ages 18-28 & Medication Management for ages 10-60 years old! We have immediate availability for all programs, call us today!
NEW - Community Based Program for individuals ages 6-60; includes case management and care coordination! At Beyond Healthcare, we offer our mental health therapeutic group services: full day: Partial Hospitalization Program (PHP) and after school: Intensive Outpatient Program (IOP) for school aged youth 11-18 years old. We also offer two virtual programs, our Young Adult Mental Health Intensive Outpatient Program for ages 18-28 & Medication Management for ages 10-60 years old! We have immediate availability for all programs, call us today!
(330) 574-8816 View (330) 574-8816
Photo of Jim Cato, Clinical Social Work/Therapist, MSW, LISW
Jim Cato
Clinical Social Work/Therapist, MSW, LISW
Serves Area
I don't really have an ideal client. I am willing to work with anyone who is willing to seek help. As stated on my profile for where I practice. "I personally believe that everyone is capable of changing their lives for the better. I believe that in order to change, you have to recognize that changes starts within you. The relationship with yourself is the most important. I aim to assist clients with increasing their relationship with themselves, in order to see the light of change within their hearts."
I don't really have an ideal client. I am willing to work with anyone who is willing to seek help. As stated on my profile for where I practice. "I personally believe that everyone is capable of changing their lives for the better. I believe that in order to change, you have to recognize that changes starts within you. The relationship with yourself is the most important. I aim to assist clients with increasing their relationship with themselves, in order to see the light of change within their hearts."
(216) 279-8205 View (216) 279-8205
Photo of Jacob Sheehan, Licensed Professional Counselor, LPC
Jacob Sheehan
Licensed Professional Counselor, LPC
Serves Area
Do old traumas keep you stuck in familiar and protective habits that prevent your full flourishing in daily life and relationships? Maybe a part of you is ready to be curious about burdened parts of you in a new and authentic way that can lead to transformative healing, integration, and thriving. Perhaps you might be open to doing some intentional and deep inner work, and reprocessing old traumas so that they can be a source of strength rather than a burden you carry. If these are the case, then I may be a good fit for you as partner and companion on your journey towards personal growth and healing.
Do old traumas keep you stuck in familiar and protective habits that prevent your full flourishing in daily life and relationships? Maybe a part of you is ready to be curious about burdened parts of you in a new and authentic way that can lead to transformative healing, integration, and thriving. Perhaps you might be open to doing some intentional and deep inner work, and reprocessing old traumas so that they can be a source of strength rather than a burden you carry. If these are the case, then I may be a good fit for you as partner and companion on your journey towards personal growth and healing.
(330) 859-4138 View (330) 859-4138
Photo of Adrianne N. Snyder . Leaves Of The Tree, MA, LPAT, ATR-BC, LPCC
Adrianne N. Snyder . Leaves Of The Tree
Verified Verified
Serves Area
Hi, I'm Adrianne! Sometimes, talk therapy just doesn't cut it. When you've sat on the couch for the umpteenth time, pouring out your life's story, hoping that if you just tell it once more, you'll work through some things...but truth is - our bodies are fascinating beings that tend to hold onto the hurt and trauma that have happened to us over the years. Those feelings and sensations get stored and stuck in the parts of the brain that can't be accessed by words alone. That's why telling our stories over and over again doesn't resolve the issue. If this sounds like you, maybe it's time to try something different.
Hi, I'm Adrianne! Sometimes, talk therapy just doesn't cut it. When you've sat on the couch for the umpteenth time, pouring out your life's story, hoping that if you just tell it once more, you'll work through some things...but truth is - our bodies are fascinating beings that tend to hold onto the hurt and trauma that have happened to us over the years. Those feelings and sensations get stored and stuck in the parts of the brain that can't be accessed by words alone. That's why telling our stories over and over again doesn't resolve the issue. If this sounds like you, maybe it's time to try something different.
(330) 756-1821 View (330) 756-1821
Photo of Sarah Ford, Licensed Professional Counselor, MA, LPC
Sarah Ford
Licensed Professional Counselor, MA, LPC
1 Endorsed
Serves Area
Not accepting new clients
If you're working through anxiety, depression, religious trauma, life changes, or struggles with shame or perfectionism, I’m here to help. I work with clients who want to grow in emotional awareness, practice self-compassion, and feel more empowered. Together, we’ll explore your story so you can show up more authentically, build meaningful connections, and create a life that feels more like your own.
If you're working through anxiety, depression, religious trauma, life changes, or struggles with shame or perfectionism, I’m here to help. I work with clients who want to grow in emotional awareness, practice self-compassion, and feel more empowered. Together, we’ll explore your story so you can show up more authentically, build meaningful connections, and create a life that feels more like your own.
View
Photo of Amy S Kennaugh, Licensed Professional Counselor, MA, NCC, LPC
Amy S Kennaugh
Licensed Professional Counselor, MA, NCC, LPC
Serves Area
I believe therapy offers a hurting individual the opportunity to talk though, identify, and heal struggles that they are experiencing in the life. By using a person centered approach, I assist individuals, couples, and adolescents to feel whole again. I welcome all cultures, including first responders, frontline workers, and their families. I help clients develop coping skills that meet their individual needs to better understand themselves and the world they live in,
I believe therapy offers a hurting individual the opportunity to talk though, identify, and heal struggles that they are experiencing in the life. By using a person centered approach, I assist individuals, couples, and adolescents to feel whole again. I welcome all cultures, including first responders, frontline workers, and their families. I help clients develop coping skills that meet their individual needs to better understand themselves and the world they live in,
(330) 739-8472 View (330) 739-8472
Photo of Dr. Renne Rodriguez, Marriage & Family Therapist, PhD, IMFT-S, LPCC-S, AAMFTAS
Dr. Renne Rodriguez
Marriage & Family Therapist, PhD, IMFT-S, LPCC-S, AAMFTAS
3 Endorsed
Serves Area
Waitlist for new clients
Dr. Rodriguez (she/her) earned a Doctor of Philosophy in Counselor Supervision & Education: Marriage & Family Therapy from The University of Akron. She is a Licensed Independent Marriage & Family Therapist and Licensed Professional Clinical Counselor. She holds multiple supervisory designations, provides clinical supervision to Ohio MFTs and PCs, and is an AAMFT Approved Supervisor. She has provided best practice treatment and systemic therapy to couples, families, and individuals for 25 years. She is an affirming, trauma-informed therapist who was trained in EMDR.
Dr. Rodriguez (she/her) earned a Doctor of Philosophy in Counselor Supervision & Education: Marriage & Family Therapy from The University of Akron. She is a Licensed Independent Marriage & Family Therapist and Licensed Professional Clinical Counselor. She holds multiple supervisory designations, provides clinical supervision to Ohio MFTs and PCs, and is an AAMFT Approved Supervisor. She has provided best practice treatment and systemic therapy to couples, families, and individuals for 25 years. She is an affirming, trauma-informed therapist who was trained in EMDR.
(216) 446-8119 View (216) 446-8119
Photo of Olivia Clark, Counselor, MA Ed, LPCC, BCN
Olivia Clark
Counselor, MA Ed, LPCC, BCN
1 Endorsed
Serves Area
Do you feel like you have done it all? You know the right coping strategies to use, but are tired of simply managing your symptoms? You are looking for deeper healing, emotional well-being, and improved mental performance. I am here to support you on your path to a more fulfilling and balanced life. I believe in a holistic, client-centered approach utilizing EMDR, ketamine-assisted therapy (KAP), and neurofeedback to offer a comprehensive therapeutic experience. By addressing both cognitive and neurological aspects, I aim to promote more balanced regulation, and sustainable change.
Do you feel like you have done it all? You know the right coping strategies to use, but are tired of simply managing your symptoms? You are looking for deeper healing, emotional well-being, and improved mental performance. I am here to support you on your path to a more fulfilling and balanced life. I believe in a holistic, client-centered approach utilizing EMDR, ketamine-assisted therapy (KAP), and neurofeedback to offer a comprehensive therapeutic experience. By addressing both cognitive and neurological aspects, I aim to promote more balanced regulation, and sustainable change.
(234) 230-7235 View (234) 230-7235

More Therapists Nearby

Photo of Carly George, Clinical Social Work/Therapist
Carly George
Clinical Social Work/Therapist
Online Only
Hello. My name is Carly and I have been practicing social work for over 15 years. My experience has been in both residential and outpatient treatment settings working with people with substance use and mental health disorders. I have a passion for helping people and believe in solution-focused therapy. I am an eclectic therapist who uses different evidence-based modalities to assist you with meeting your goals. When I say your goals, I mean YOUR goals.
Hello. My name is Carly and I have been practicing social work for over 15 years. My experience has been in both residential and outpatient treatment settings working with people with substance use and mental health disorders. I have a passion for helping people and believe in solution-focused therapy. I am an eclectic therapist who uses different evidence-based modalities to assist you with meeting your goals. When I say your goals, I mean YOUR goals.
(513) 848-5562 View (513) 848-5562
Photo of Saidah Foree, Clinical Social Work/Therapist
Saidah Foree
Clinical Social Work/Therapist
Online Only
I believe the people want to be creative, joyful and hopeful. Experiencing fulfillment of future dreams are outcomes for a well lived life. "As a Man Thinks, so are They". Is often referenced in my practice as a motto to help bridge the understanding that thoughts create the present and form the future. As a mental health professional my primary interventions are offered using telehealth therapy that focuses on
I believe the people want to be creative, joyful and hopeful. Experiencing fulfillment of future dreams are outcomes for a well lived life. "As a Man Thinks, so are They". Is often referenced in my practice as a motto to help bridge the understanding that thoughts create the present and form the future. As a mental health professional my primary interventions are offered using telehealth therapy that focuses on
(513) 995-7856 View (513) 995-7856
Photo of Kylena France, Licensed Professional Clinical Counselor
Kylena France
Licensed Professional Clinical Counselor
Online Only
I graduated with a M. Ed with a specialization in Mental Health Counseling in 2012, have been an LPC since 2013. I received my Independent Chemical Dependency License in 2021 and my LPCC in 2025. I have had the privilege to work with a wide variety of disorders and demographics. I draw from multiple theoretical approaches and techniques, tailoring your treatment plan to your needs by selecting the most effective methods from various therapies, rather than strictly adhering to one specific school of thought.
I graduated with a M. Ed with a specialization in Mental Health Counseling in 2012, have been an LPC since 2013. I received my Independent Chemical Dependency License in 2021 and my LPCC in 2025. I have had the privilege to work with a wide variety of disorders and demographics. I draw from multiple theoretical approaches and techniques, tailoring your treatment plan to your needs by selecting the most effective methods from various therapies, rather than strictly adhering to one specific school of thought.
(330) 648-4557 View (330) 648-4557
Photo of Erin N Dye, Licensed Independent Social Worker, LISW-S
Erin N Dye
Licensed Independent Social Worker, LISW-S
1 Endorsed
Online Only
From one humble pilgrim on this life journey to another, I want to work with you to reach your desired life for yourself. Being a human being is hard and adding in our personal experiences and circumstances, we all deserve support in our corner. In our time together we can establish goals meaningful for your needs and what approach is best fitting. I find it important to work with your already existing strengths and develop skills for physical, mental and emotional improvement. Through this work, we can find a place where you feel confident enough to be “your own therapist” because healing is possible!
From one humble pilgrim on this life journey to another, I want to work with you to reach your desired life for yourself. Being a human being is hard and adding in our personal experiences and circumstances, we all deserve support in our corner. In our time together we can establish goals meaningful for your needs and what approach is best fitting. I find it important to work with your already existing strengths and develop skills for physical, mental and emotional improvement. Through this work, we can find a place where you feel confident enough to be “your own therapist” because healing is possible!
(937) 210-9290 View (937) 210-9290

See more therapy options for Green

How does your Therapist compare?

Number of Therapists in Green, OH

10+

Average cost per session

$130

Therapists in Green, OH who prioritize treating:

94% Anxiety
94% Stress
81% Depression
81% Coping Skills
81% Self Esteem
69% Grief
69% Life Transitions

Average years in practice

9 Years

Top 3 insurances accepted

92% Medical Mutual
75% Aetna
75% Anthem

How Therapists in Green, OH see their clients

94% In Person and Online
6% Online Only

Gender breakdown

87% Female
13% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Green?

Search for nearby therapists or counselors by inputting your city, town, or suburb; or zip code; or a provider’s name into the search bar. From there, you can filter providers by the issues they treat, cost, insurance, gender, and other factors to find providers who are well-suited to your needs. To navigate between locations within the same country, enter a new city or zip code into the search bar.

Learn more about how to find a therapist

Is everyone in the Psychology Today Therapy Directory a licensed therapist?

The Psychology Today directory lists providers who offer legitimate mental health services to the public, including psychologists, psychiatrists, social workers, and counselors.

Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.

What’s the difference between a psychologist, a therapist, and a counselor?

Therapists, psychologists, and counselors are all licensed mental health professionals. In the US, psychologists have earned a doctoral degree. The terms “therapist” and “counselor” are used somewhat interchangeably, but generally therapists offer longer-term, mental health care, while counselors offer shorter-term care that may focus on one domain, such as marriage, career, or academic challenges.

Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.

What type of therapy is right for me?

The type of therapy best suited to a particular individual depends on several factors, including their primary reason for seeking therapy, their preferred timeline (some therapy types last for a set number of sessions, while others are open-ended), and their personality and preferences—some may prefer a more structured approach. For many individuals, multiple types of therapy could provide a good fit.

How much does therapy cost?

The cost of therapy depends on a number of variables, including location and the therapist’s experience and training. On average, a therapy session in the United States could cost between $100 and $200 or more. If you have insurance, the expense of mental health care is typically lower, but it varies based on your insurance plan details and whether you choose an in-network or out-of-network mental healthcare provider.

What are more affordable or low cost therapy solutions?

Many therapists offer sliding scale payments, usually on a limited number of slots, which consists in an agreement between the therapist and a client to pay a reduced rate. Therapists who provide such arrangements often consider the client's income or ability to pay, but the extent of the discount is ultimately at the therapist's discretion. Furthermore, while group therapy may have different goals and benefits compared to individual therapy, it can be a more affordable solution to address certain types of issues.

Is online therapy cheaper than in-person therapy?

Many therapists charge the same amount for online therapy as they do for in-person therapy—though clients may still find this cost-effective if it cuts down on their transportation costs. Health insurance plans often offer equivalent coverage for online and in-person therapy; indeed, in many places, they are legally required to do so. Text-based or on-demand therapy apps may be cheaper than traditional one-on-one psychotherapy; however, the practice may be less effective and is not likely to be covered by insurance.

Is online therapy a good option?

Therapy conducted online can be just as effective as in-person therapy, as long as there is a strong alliance between the client and the therapist. To find a therapist who provides telehealth services to clients in your area, click “Online Therapy” on the directory homepage and search by your city or town or your zip code.

Are therapy sessions confidential?

Confidentiality is a crucial part of the therapeutic relationship. Therapists in the United States are bound by the regulations set out by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), which aims to protect sensitive health information. With very few exceptions, a therapist will only discuss their client with others when the client has given their written permission. The instances in which a therapist would be required to disclose personal information are: if a client poses a danger to themselves or others, if the therapist suspects the abuse of a child or an elderly or otherwise dependent adult, or if they are legally forced to by court order. These exceptions to the confidentiality agreement are usually discussed with a client before their first session.